The effect of a wall mural on decreasing four types of door-testing behaviors

This study examined the effect that a wall mural painted over an exit door had on decreasing door-testing behaviors of residents with dementia. Twelve residents who tested the doors regularly were observed over a 12-week period. The frequency of four types of door-testing behaviors before and after the wall mural installation was explored. A significant decrease in overall door-testing behavior and a significant decrease in two of four distinct behavior types occurred. The findings support the idea that by disguising the door with a wall mural, door-testing behaviors are reduced. Wall murals can be an effective way of cueing residents away from a situation that may evoke agitation and a situation of potential harm and litigation.